EFEKTIVITAS PEMBALUT EKSTRAK DAUN MIANA (COLEUS SCUTELLARIOIDES) TERHADAP PENYEMBUHAN LUKA PERINIUM PADA IBU POSTPARTUM
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Abstract
Poor perineal wound care can cause infection and impact the wound-healing process. Miana leaves contain flavonoids that are antibacterial and anti-inflammatory and prevent infection. For this reason, researchers developed a sanitary napkin product with Miana leaf extract to accelerate the healing of perineal wounds in postpartum mothers. The study aimed to determine the effectiveness of Miana leaf extract dressings in accelerating the healing of perineal wounds in postpartum mothers. The research type was true experimental with a pretest post-test design and a control group design using a simple random sampling technique. The respondents were postpartum mothers with grade II perineal wounds divided into two groups of 20 samples. Provide miana leaf extract dressings and dry clean treatment 3 times a day for 7 days. Wound measurements using REEDA and Staphylococcus aureus bacteria in the laboratory. Bivariate analysis using Friedman and Wilcoxon. The average REEDA score pre-day 3, 5, and 7 in the intervention group was 12.10, 3.65, 0.95, and 0.15; in the control group, it was 13.20, 12.65, 10.95, and 9.35. The average pre and post-Staphylococcus aureus bacteria in the intervention group was 4.15, and 0.35 in the control group was 5.10 and 3.15. Miana leaf extract effectively reduced wound healing time (p=0.038) and the number of Staphylococcus aureus bacteria (p=0.006). Using Miana leaf extra dressing for 3 days effectively reduces the length of wound healing and the number of Staphylococcus aureus bacteria in postpartum mothers with grade II perinatal wounds.
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References
S. Devi and B. Manurung, “Pengaruh Air Rebusan Daun Sirih Hijau dalam Mempercepat Penyembuhan Luka Perineum Di Klinik Ida Wardani Kabupaten Mandailing Natal Tahun 2022,” J. Ilmu Kedokt. Dan Kesehat. Indones., vol. 3, no. 1, pp. 55–58, 2023, [Online]. Available: https://journal.amikveteran.ac.id/index.php/jikki
E. Wijayanti, Supriadi, and A. Heriyah, “Vulva Hygiene dengan Rebusan Daun Sirih terhadap Penyembuhan Luka Perineum Ibu Nifas,” Mahakam Midwifery J., vol. 8, no. 1, pp. 1–14, 2023, doi: https://doi.org/10.35963/mmj.v8i01.189.
E. Rodaki, A. Diamanti, A. Sarantaki, and A. Lykeridou, “The effects of perineal tears during childbirth on women’s sex life,” Pubmed : Maedica, vol. 7, no. 2, 2022, doi: https://doi.org/10.26574%2Fmaedica.2022.17.2.297.
A. Lestari and N. Anita, “Efektivitas Senam Kegel terhadap Penyembuhan Luka Perineum pada Ibu Post Partum,” J. Keperawatan Prof., vol. 6, no. 1, pp. 78–94, 2024, doi: https://doi.org/10.37287/jppp.v6i1.2069.
I. Rohmawati, “Efektifitas Penyembuhan Luka Perineum dengan Perawatan Luka Bersih dan Kering,” STIKes Tulungagung, 2023. [Online]. Available: http://repository.stikestulungagung.ac.id/346/
F. Tridiyawati and N. Santika, “Kontribusi Pengetahuan Ibu Nifas terhadap Penyembuhan Luka Perineum,” J. Antara Kebidanan, vol. 2, no. 2, pp. 54–62, 2019, doi: http://dx.doi.org/10.37063/ak.v2i2.37.
N. Yuningsih, Supriyana, Rasipin, Suhartono, and D. K. Mulyantoro, “Efektivitas Ekstrak Daun Miana (Coleus Scutellarioides Lamiaceae Benth) terhadap Penyembuhan Luka Perineum Rupture pada Ibu Nifas,” Poltekkes Kemenkes Semarang, 2018. [Online]. Available: https://repository.poltekkes-smg.ac.id/index.php/index.php?p=show_detail&id=17028&keywords=
WHO, “World Bank Group and The United Nations Population Division. Trends In Maternal Mortality 2000 To 2017: Estimates By Who, Unicef. Unfpa, World Bank Group and The United Nations Population Division.” [Online]. Available: https://www.unfpa.org/featured-publication/trends-maternal-mortality-2000-2017#:~:text=The global maternal mortality ratio in 2017 is estimated at,ratio was 2.9 per cent.
Kemenkes RI., Profil Kesehatan Indonesia 2021. 2022. [Online]. Available: https://www.kemkes.go.id/downloads/resources/download/pusdatin/profil-kesehatan-indonesia/Profil-Kesehatan-2021.pdf
E. Yuliaswati and Kamidah, “Upaya Mempercepat Penyembuhan Luka Perineum Melalui Penggunaan Air Rebusan Sirih Hijau,” Indones. J. Med. Sci., vol. 5, no. 1, 2018, [Online]. Available: http://ejournal.poltekkesbhaktimulia.ac.id/index.php/ijms/article
R. Lubis and Y. Siregar, “Penyuluhan Pencegahan Infeksi dan Penyembuhan Luka Perineum Ibu Post Partum dengan Perawatan Menggunakan Gel Daun Sirih Merah 15% Di PMB Satiani Aziz Tembung Kecamatan Percut Sei Tuan Kabupaten Deli Serdang,” J. Kreat. Pengabdi. Kpd. Masy., vol. 6, no. 2, pp. 468–76, 2023, doi: https://doi.org/10.33024/jkpm.v6i2.8288.
S. S. I. Nurdin, F. Syamsuddin, and S. Manalib, “Pengaruh Pemberian Povidone Iodine 10% terhadap Penyembuhan Luka Perineum pada Ibu Postpartum Di Puskesmas Limboto Kabupaten Gorontalo,” J. Med. Heal., vol. 1, no. 1, pp. 9–24, 2023, [Online]. Available: http://istanajurnal.org/index.php/JMH/article
T. L. King, M. C. Brucker, J. M. Kriebs, and J. O. Fahey, Varney’s Midwifery. USA: Jones & Bartlett Learning, 2013.
WHO, “Pregnancy, Childbirth, Postpartum and Newborn Care: A Guide for Essential Practice.” [Online]. Available: https://www.who.int/publications/i/item/9789241549356
R. Wirenviona and A. A. I. D. C. Riris, Edukasi Kesehatan Reproduksi Remaja. Surabaya: Airlangga University Press, 2020.
I. P. Sari, N. K. Firani, and L. Yuliatun, “Pengaruh Pendidikan Kesehatan tentang Menstruasi terhadap Perubahan Perilaku Menstrual Hygiene Remaja Putri untuk Pencegahan Infeksi Saluran Reproduksi (ISR),” BIMIKI, vol. 2, no. 1, 2013, [Online]. Available: https://media.neliti.com/media/publications/338903-pengaruh-pendidikan-kesehatan-tentang-me-ee959276.pdf
Y. Hukubun, D. I. Budiono, and E. M. Kurniawati, “The Relationship Between Age, Parity, and Birth Weight With The Degree of Perineal Rupture in The RSUD Jayapura,” Indones. Midwifery Heal. Sci. J., vol. 5, no. 1, pp. 103–15, 2021, doi: DOI: 10.20473/imhsj.v5i1.2021.103-115.
D. F. Sulistyaningrum, “Pengaruh Pemberian Gel Self-Nanoemulsifying Drug Delivery System (Snedds) Ekstrak Pegagan (Centella Asiatica (L.)) Sebagai Penyembuh Luka (Wound Healing) pada Kelinci,” Universitas Islam Indonesia, 2022. [Online]. Available: https://dspace.uii.ac.id/handle/123456789/39389
A. Anita, D. Arisanti, and A. Fatmawati, “Potentialy Of Flavonoid Miana (Coleus Atropurpereus) Leaves Estract As Anti Mycobacterium Tuberculosis H37rv Strain And Mdr With Microscopy Observation Drug Susceptibility (Mods),” J. Ilmu Alam dan Lingkung., vol. 9, no. 2, 2018, doi: https://doi.org/10.20956/jal.v9i2.5377.
H. Purnama, Sriwidodo, and S. Ratnawulan, “Review Sistematik: Proses Penyembuhan dan Perawatan Luka,” Farmaka, vol. 15, no. 2, 2017, doi: https://doi.org/10.24198/jf.v15i2.13366.g6184.
M. B. Alvarenga, A. A. Francisco, S. M. J. V. de Oliveira, F. M. B. da Silva, G. T. Shimoda, and L. P. Damiani, “Episiotomy Healing Assessment: Redness, Oedema, Ecchymosis, Discharge, Approximation (REEDA) Scale Reliability,” Rev. Lat. Am. Enfermagem, vol. 23, no. 1, 2015, doi: https://doi.org/10.1590%2F0104-1169.3633.2538.
P. L. Bigliardi, C. Neumann, Y. L. Teo, A. Pant, and M. Bigliardi-Qi, “Activation of The Opioid Receptor Promotes Cutaneous Wound Healing By Affecting Keratinocyte Intercellular Adhesion and Migration,” Br. J. Pharmachology, vol. 172, no. 2, 2015, doi: https://doi.org/10.1111%2Fbph.12687.
J. Zhang et al., “Exosomes Released From Human Induced Pluripotent Stem Cells-Derived Mscs Facilitate Cutaneous Wound Healing By Promoting Collagen Synthesis and Angiogenesis,” J. Transl. Med., vol. 13, no. 49, 2015, doi: https://doi.org/10.1186%2Fs12967-015-0417-0.
V. D. P. Tulas, R. Kundre, and Y. Bataha, “Hubungan Perawatan Luka Perineum dengan Perilaku Personal Hygiene Ibu Post Partum Di Rumah Sakit Pancaran Kasih Gmim Manado,” J. Keperawatan, vol. 5, no. 1, 2017, [Online]. Available: https://ejournal.unsrat.ac.id/index.php/jkp/article/download/14696/14264
S. Yuliana and S. F. Fauziah, “Studi Kasus: Konsumsi Putih Telur untuk Mempercepat Penyembuhan Luka Perineum,” J. Kebidanan, vol. 2, no. 1, pp. 59–68, 2021, [Online]. Available: https://www.jurnalpoltekkesmaluku.com/index.php/JBD/article/view/322
C. Anwar and F. Safitri, “Perawatan Masa Nifas Di Rumah Sakit Bhayangkara Banda Aceh,” J. Pengabdi. Kpd. Masy., vol. 4, no. 1, 2022, [Online]. Available: https://jurnal.uui.ac.id/index.php/jpkmk/article/view/2678
N. Yuningsih, Supriyana, Rasipin, Suhartono, and D. Kristanto, “Effectiveness of Miana Leaves Extract (Coleus Scuttellarioides Lamiaceae Benth) on Perineal Rupture Wound Healing in Postpartum Mother,” Int. J. Nurs. Heal. Sci., vol. 4, no. 3, pp. 1–4, 2018, doi: http://dx.doi.org/10.14445/24547484/IJNHS-V4I3P101.
R. Tari, J. Posangi, and P. M. Wowor, “Uji Efek Daun Iler (Coleus Atropurpureus [L.] Benth.) terhadap Penyembuhan Luka Insisi pada Kulit Kelinci (Oryctolagus Cuniculus),” Biomedik, vol. 1, no. 1, 2013, doi: https://doi.org/10.35790/ebm.v1i1.4602.
T. A. Yanto, “Pengaruh Pemberian Ekstrak Daun Miana (Coleus Scutellariodes [L] Benth) terhadap Profil Hypoxia Inducible Factor-1 Alpha Alpha (Hif-1α) Dan Vascular Endothelial Growth Factor (Vegf) Pada Mencit yang Diinfeksi S.Typhi,” Universitas Hasanuddin, 2021. [Online]. Available: https://repository.unhas.ac.id/id/eprint/13739/
E. M. Sanit, R. E. Y. Adu, and E. Korbafo, “Aktivitas Antioksidan Dapat Membantu Melawan Kerusakan Sel Akibat Radikal Bebas, Sementara Aktivitas Antimikroba Dapat Mencegah dan Mengobati Infeksi,” J. Saintek Lahan Kering, vol. 6, no. 1, pp. 1–3, 2023, doi: https://doi.org/10.32938/slk.v6i1.2137.
D. A. Munthe and Ridwanto, “Aktivitas Antibakteri Ekstrak Daun Pinang (Areca Catechu L.) terhadap Bakteri Staphylococcus Aureus dan Escherichia Coli,” J. Heal. Med. Sci., vol. 1, no. 4, pp. 14–28, 2022, [Online]. Available: https://www.pusdikra-publishing.com/index.php/jkes/article/view/882
A. D. Syalfina, D. Irawati, S. Priyanti, and A. Churotin, “Studi Kasus Ibu Nifas dengan Infeksi Luka Perineum,” J. Kesehat. Mercusuar, vol. 4, no. 1, 2022, doi: https://doi.org/10.36984/jkm.v4i1.176.
Y. Puspaningrum and W. A. Wibowo, “Gambaran Pola Bakteri pada Ulkus, Abses, dan Selulitis Di RS PKU Muhammadiyah Surakarta,” Proceeding B. Call Pap. Fak. Kedokt. Univ. Muhammadiyah Surakarta, 2020, [Online]. Available: https://publikasiilmiah.ums.ac.id/xmlui/handle/11617/12035
I. M. S. Wijaya, Perawatan Luka dengan Pendekatan Multidisiplin. Yogyakarta: Andi Offset, 2018.
S. R. Pakadang and H. Salim, “Kombinasi Daun Miana (Coleus Scutellarioides (L.) Benth) dan Rimpang Jahe (Zingiber officinale Rosc.) Sebagai Antibakteri Streptococcus Pneumonia, Staphylococcus Aureus, Staphylococcus Epidermidis, Klebsiella Pneumonia Penyebab Batuk,” Media Farm., vol. 15, no. 1, 2019, doi: https://doi.org/10.32382/mf.v15i1.779.
N. A. Syahrana, “Uji Efektivitas Krim Ekstrak Metanol Daun Miana (Coleus scutellarioides L) terhadap Bakteri Staphylococcus Aureus,” J. Pharm. Pelamonia, vol. 2, no. 2, 2022, [Online]. Available: https://www.ojs.iikpelamonia.ac.id/index.php/Pharmacy/article/view/329
D. E. Kusumawati, F. H. Pasaribu, and M. Bintang, “Aktivitas Antibakteri Isolat Bakteri Endofit Dari Tanaman Miana (Coleus Scutellariodes [L.] Benth.) terhadap Staphylococcus Aureus dan Escherichia Coli,” J. Bogor Agric. Univ., vol. 1, no. 1, p. 45050, 2014, [Online]. Available: https://core.ac.uk/download/pdf/230416188.pdf